Organization · Type 2 NPI

Kaiser Foundation Hospitals

Mental Illness Community Based Residential Treatment Facility · Clackamas, OR

NPI number 1659528693 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-9303

Call (503) 571-1999 Map

Fax (503) 571-5508

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

774 other providers at this address

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NPI record

NPI: 1659528693
Entity type: Organization (Type 2)
Issued: Aug 21, 2008
Last updated: Jun 23, 2022
Status: Active
Subpart: Yes of Kaiser Foundation Hospitals

Other names

<unavail>
Brookside Treatment Facility · doing business as
Brookside Treatment Facility · doing business as

Authorized official

Shawn Barton
Executive Director, Revenue Cycle
(800) 813-2000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659528693

Kaiser Foundation Hospitals's National Provider Identifier is 1659528693, issued on Aug 21, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clackamas, OR. The record was last updated on Jun 23, 2022.